text:
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Prehospital and Disaster Medicine http://pdm.medicine.wisc.eduVol.22,No.1
Mortality Rates, Prevalence of Malnutrition,
and Prevalence of Lost Pregnancies among
the Drought-Ravaged Population of Tete
Province, Mozambique
Program Quality Advisor,World Vision
Australia and Honorary Fellow, School of
Health and Social Development, Deakin
University, Melbourne, Australia
Dr Andre M.N. Renzaho, PhD, MPH
Senior Research Fellow
School of Health and Social Development
Faculty of Health, Medicine, Nursing and
Behavioural Sciences
Deakin University
221 Burwood Highway
Burwood 3125
Victoria, Australia
E-mail: firstname.lastname@example.com
F Fu un nd di in ng g
This study was fully funded by World Vision
Australia, and there was no external funding
Keywords:human immunodeficiency
virus/acquired immunodeficiency syndrome
(HIV/AIDS); lost pregnancies; malnutrition;
mortality; Mozambique; Tete Province
AIDS = acquired immunodeficiency
CMR = crude mortality rate
CSB = Corn and Soya Blend
H/A = height-for-age
HIV = human immunodeficiency virus
MCH = Maternal and Child Health
NGO = non-governmental organization
TB = tuberculosis
U5MR = under 5 mortality rate
W/A= weight-for-age
W/H = weight-for-height
WFP = World Food Programme
Received:01 June 2006
Accepted: 10 July 2006
Revised: 14 July 2006
Web publication:16 February 2006
Dr.Andre M.N.Renzaho,PhD,MPH
A Ab bs st tr ra ac ct t
B Ba ac ck kg gr ro ou un nd d: : Tete Province,Mozambique has experienced chronic food inse-
curity and a dramatic fall in livestock numbers due to the cyclic problems
characterized by the floods in 2000 and severe droughts in 2002 and 2003.
The Province has been a beneficiary of emergency relief programs, which
have assisted >22% of the population. However, these programs were not
based on sound epidemiological data, and they have not established baseline
data against which to assess the impact of the programs.
O Ob bj je ec ct ti iv ve e: : The objective of this study was to document mortality rates, caus-
es of death, the prevalence of malnutrition, and the prevalence of lost preg-
nancies after 2.5 years of humanitarian response to the crisis.
Cahora Bassa and Changara districts from 22 October to 08 November 2004.
A total of 838 households were surveyed,with a population size of 4,688 people.
R Re es su ul lt ts s: : Anthropometric data were collected among children 6–59 months of
age. In addition, crude mortality rates (CMRs), under five mortality rates
(U5MRs), causes of deaths, and prevalence of lost pregnancies were deter-
mined among the sample population. The prevalence of malnutrition was
8.0% (95% confidence interval (CI) = 6.2–9.8%) for acute malnutrition,
26.9% (95% CI = 24.0–29.9%) for being underweight, and 37.0% (95% CI =
33.8–40.2%) for chronic malnutrition. Boys were more likely to be under-
weight than were girls (odds ratio (OR) = 1.34; 95% CI = 1.00,1.82; p <0.05)
after controlling for age, household size, and food aid beneficiary status.
Similarly,children 30–59 months of age were significantly less likely to suffer
from acute malnutrition (OR = 0.45; 95% CI = 0.26, 0.79; p <0.01) and less
likely to be underweight (OR = 0.37; 95% CI = 0.27,0.51;p <0.01) than chil-
dren 6–29 months of age, after adjusting for the other, aforementioned fac-
tors. The proportion of lost pregnancies was estimated at 7.7% (95% CI =
4.5–11.0%).A total of 215 deaths were reported during the year preceding the
survey. Thirty-nine (18.1%) children <5 years of age died. The CMR was
1.23/10,000/day (95% CI = 1.08–1.38), and an U5MR was 1.03/10,000/day
(95% CI = 0.71–1.35). Diarrheal diseases, malaria, tuberculosis, and human
immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
accounted for more than two-thirds of all deaths.
C Co on nc cl lu us si io on ns s: :The observed CMR in Tete Province,Mozambique is three times
higher than the baseline rate for sub-Saharan Africa and 1.4 times higher than
the CMR cut-off point used to define excess mortality in emergencies.The cur-
rent humanitarian response in Tete Province would benefit from an improved
alignment of food aid programming in conjunction with diarrheal disease con-
trol, HIV/AIDS, and malaria prevention and treatment programs.The impact
of the food programs would be improved if mutually acceptable food aid pro-
gram objectives,verifiable indicators relevant to each objective,and beneficiary
targets and selection criteria are developed. Periodic re-assessments and evalu-
ations of the impact of the program and evidenced-based decision-making
urgently are needed to avert a chronic dependency on food aid.
Me et th ho od ds s: : A two-stage, 30-cluster household survey was conducted in the
Renzaho AMN:Mortality rates,prevalence of malnutrition,and prevalence
of lost pregnancies among the drought-ravaged population of Tete Province,
Mozambique.Prehosp Disast Med 2007;22(1):26–34.
Page 2
January–February 2007 http://pdm.medicine.wisc.edu Prehospital and Disaster Medicine
dren >5 years of age, and pregnant and lactating
mothers. From February 2003 to June 2004, the
average quantity of CSB distributed per eligible ben-
eficiary was 5.5 kg.
3. A home-based feeding program for the chronically
ill (mainly for people living with HIV/AIDS and
tuberculosis)—By 01 October 2004, the average
quantity of food distributed per eligible beneficiary
was 25.8 kg of maize, 3.1 kg of sorghum, and 8.2 kg
of CSB.
4. The Vulnerable Group Feeding Program—By 01
October 2004, the average quantity of food distrib-
uted per eligible beneficiary was 8.6 kg of maize,3.8
kg of sorghum,0.4 kg of beans,0.7 kg of rice,and 0.1
kg of oil.This program is intended for orphans and
vulnerable children, child- or female-headed house-
holds, the elderly, and the disabled.
Despite such intensive and comprehensive interventions,
these programs have not been based on sound epidemiologi-
cal data,nor have they established baseline data against which
to assess the impact of the programs.The purpose of this study
was to document the mortality rates, causes of death, preva-
lence of malnutrition,and prevalence of lost pregnancies after
2.5 years of ongoing humanitarian response to the crisis.
Study Design
The study design was cross-sectional, and based on a two-
stage,30-cluster household survey in the Cahora Bassa and
Changara districts. When the relief programs were imple-
mented, population-based data on mortality or nutritional
status were available, and existing data had been collected
on an ad hoc basis.Available data on malnutrition indicat-
ed that the prevalence of acute malnutrition in 2003 was
9.9% in Tete Province.4However, given that the Cahora
Bassa and Changara districts were the most severely affect-
ed,in this study,it was assumed that the prevalence of acute
malnutrition in those districts would be higher than the
average of the Province.Due to a lack of data on malnutri-
tion in these districts, a prevalence of acute malnutrition
Me et th ho od ds s
F Fi ig gu ur re e 1 1—Tete Province showing the study area
Renzaho © 2007 Prehospital and Disaster Medicine
I In nt tr ro od du uc ct ti io on n
During the last three decades, Mozambique has been the
scene of multiple disasters. In 1992, following 20 years of
civil war, Mozambique experienced a number of disasters
caused by naturally occurring hazards. In May 1996, the
Programme (WFP) Crop and Food Supply Assessment
Mission to Mozambique found that cyclone Bonita result-
ed in exceptionally heavy rains, that caused widespread
flooding, destroyed 44,200 hectares of crops, and affected
83,528 people. Similarly, in 1994, cyclone Nadia left thou-
sands of people on Mozambique's northern coast homeless
and hungry for an extended period of time.1Cyclone Eline
in February 2000 and cyclone Hudah in April 2000 left
450,000 people homeless, 160,000 displaced, and 500
dead.2The year 2002 was characterized by sporadic and
insufficient rains in southern Mozambique.Several years of
flooding and droughts combined with a loss of productivi-
ty due to the impact of human immunodeficiency
virus/acquired immunodeficiency syndrome (HIV/AIDS),
have left the community vulnerable to food insecurity and
malnutrition.3By 2003, it was estimated that people in 43
of the 128 (33%) districts in the country suffered from food
shortages, and the number of people needing food assis-
tance escalated between 2002 and 2003.2
Large, semi-arid areas and cyclic problems associated
with food insecurity have severely affected the population of
Tete Province.3Anthropometric data indicate that in 2003,
the prevalence of acute malnutrition was 9.9% for Tete
Province (Figure 1),3.4% for Manica,3.6% for Sofala,2.9%
for Inhambane,and 2.4% for Gaza,averaging 6.4% nation-
ally (Figure 2).4Since 2000,the south and central regions of
Tete Province have experienced irregular and insufficient
rains. Maize yields were reduced greatly, and the following
season for grains and vegetables was affected adversely.
Although sorghum and cassava are more resistant to
drought conditions, an overall reduction in productivity
from plantations due to personnel with HIV/AIDS5has
resulted in at least four years of a meager harvest in Tete.In
September 2002,World Vision and the WFP implemented
nutritional support programs aimed to reduce mortality and
malnutrition among the most severely affected districts of
Tete Province: the Cahora Bassa, Changara, Moatise, and
Mutarara districts.These programs included: (1) the Food-
for-Work Program; (2) the Corn and Soya Blend (CSB)
Supplementary Food Program; (3) a home-based feeding
program; and (4) the Vulnerable Group Feeding Program.
1. The Food-for-Work Program—From October 2002
to July 2004,the average quantity of food distributed
per eligible beneficiary was 10.5 kg of maize,4 kg of
sorghum, 0.9 kg of beans, 2.7 kg of rice, and 0.3 kg
of oil.The work associated with this scheme resulted
in the construction of >47 schools, 12 small dams,
three houses for nurses, two maternity houses, and
five houses for teachers. Roads were rehabilitated,
and >17 farmers' associations were established to
promote the multiplication of sweet potato and cassava
stakes,vegetable production,and fruit tree plantations;
2. The Corn and Soya Blend (CSB) Supplementary
Food Program—This program is intended for chil-
and Agriculture Organization/World Food
Page 3
Prehospital and Disaster Medicine
28 Mortality Rates,Prevalence of Malnutrition
Prior to data collection, the heads of households or
guardians were told that participation in the study was vol-
untary, that they were free to withdraw their participation
at any stage during the study, and that the data would be
presented as aggregate.They were assured that all data pro-
vided would be treated with strict confidentiality. All
selected households consented to participate in the study.
Trained enumerators administered the questionnaire. In
the event that data collectors reached the border of the vil-
lage before the required number of children for a cluster
was reached, they returned to the center of the village and
repeated Steps 1 and 2. In Step 2, if household members
> _15 years of age were absent at the time of the interview,
neighbors were asked to assist in locating the members. If
the occupants could not be found,the data from the house-
hold was eliminated and replaced with data from the next
closest household; this only occurred twice.
Data collectors who spoke both the local language (main-
ly Barwa, but also referred to as Balke or Cibalke) and
English, administered the questionnaire after receiving 3.5
days of training on sampling methodology, data collection,
anthropometric measurements, and data recording. The
questionnaire was translated into the local language, trans-
lated back into English by a different person to validate the
accuracy of translation,and field-tested prior to official data
collection.Upon completion of each cluster,the group leader
checked all questionnaires for completeness and accuracy.
Weight was measured by Salter-type spring hanging scales,
with a capacity of 25 kg and 100 gram increments (DK-
2100 Copenhagen,Denmark).Height was measured to the
nearest millimeter using a measuring board (Shorr
Productions, Maryland).Three types of malnutrition were
considered in this study: (1) underweight, measured by
weight-for-age (W/A); (2) chronic malnutrition, measured
by height-for-age (H/A); and (3) acute malnutrition, mea-
sured by weight-for-height (W/H). The Z-scores were
used as indicators of the nutritional status of children: acute
malnutrition was defined as a W/H <-2 Z-score;chronic mal-
nutrition was defined as a H/A <-2 Z-score;and underweight
was defined as a W/A <-2 Z-score.
The computation of the mid-point population assumed
that deaths and births occurred at a constant rate—half of
deaths and half of births did not occur by the midpoint of
the recall period.12,13This is an accurate estimation, given
that the population movement had remained stable during
the five years preceding the evaluation.After the war ended
in 1992, the majority of Mozambicans returned from
neighboring countries, especially Zimbabwe, after years in
refugee camps,5and were attracted by the coal mines at
Moatize. By the late 1990s, the population movement was
stable. Thus, three questions were asked: (1) the number of
people that slept in the house the night preceding the sur-
vey;(2) the number of pregnancies and their outcomes dur-
ing the recall period; and (3) the number of people living in
the household who died during the recall period. For each
identified death, respondents were asked to identify the
cause of death or to list three symptoms the victim experi-
enced before their death.
F Fi ig gu ur re e 2 2—Death rates (10,000/day) and their 95% CI
reported in Cahora Bassa and Changara districts over the
recall period
Renzaho © 2007 Prehospital and Disaster Medicine
was estimated as 20% for the sample size calculation so that
the sample size was not under-estimated. In calculating the
sample size,a design effect of two and a precision of 4% were
assumed.6–8A sample size of 768 children was obtained.This
sample size was adjusted to account for contingencies such as
non-response or recording errors,and the corresponding fig-
ure was rounded to 820 children,6,8or 4,713 people, assum-
ing a proportion of 17.4% children <5 years of age.9,10With
an average household size estimated at 5.6 persons,9,10the
total number of households that needed to be visited was esti-
mated at 842.This sample was more than adequate to deter-
mine the crude mortality rate (CMR), when a CMR of 1.5
deaths/10,000 people/day and a recall period of 373 days,
with a 95% CI of ±0.5/10,000/day,and a design effect of two
were assumed (calculated n = 3,753 persons).
During the first stage, the smallest population unit in each
district (village) was determined.The total number of villages
that compose the Cahora Basa and Changara districts,as well
as the population size of each village, were determined using
the 2003 Mozambique Demographic and Health Survey.9,10
Thirty clusters were assigned randomly in proportion to the
population of the village. During the second stage, house-
holds were selected using the standard Expanded Program on
Immunization methods.11Data collectors went to the center
of the village and chose a direction randomly (e.g., by spin-
ning a bottle) (Step 1). They counted the total number of
households (t) in the chosen direction from the center to the
edge of the village. The first number surveyed was selected
randomly by choosing a number between 1 and tusing a table
of random numbers.After the first household was identified,
the next closest household was selected and the process con-
tinued until the number of children required per cluster were
questioned (820/30 = 27;Step 2).A householdwas defined as
an aggregate of persons who either live together under the
same roof or in different units in the same compound,but eat
together or share the household food.
Page 4
January–February 2007 http://pdm.medicine.wisc.edu Prehospital and Disaster Medicine
The proportion of lost pregnancies was calculated using the
following formula:14
% % l lo os st t p pr re eg gn na an nc ci ie es s =
(abortion + stillbirths)/(abortion + stillbirths + live births)
Mortality rates were computed as follows:12,13
Number of deaths
Recall period in days x mid-point population
Where: mid-point population = number of living in the
sample + 1/2 deaths in the sample – 1/2 live births in the
Number of deaths among
those <5 years of age
Number of living <5 years of age + 1/2
deaths among those <5 years of age x recall period
CI = 0.26,0.79;p <0.01) and to be underweight (OR = 0.37;
95% CI = 0.27, 0.51; p <0.01) than children aged 6–29
months after adjusting for the other factors.
Prevalence of Lost Pregnancies
A total of 339 pregnancies were reported during the recall
period. Of these, 80 (23.6%) women still were pregnant,
239 (70.1%) resulted in live births, and 20 (5.9%) resulted
stillbirths, miscarriages, or abortions, corresponding to a the
proportion of 7.7% (95% CI = 4.5–11.0%) lost pregnancies.
A total of 215 deaths were reported during the recall peri-
od. Of these deaths, 39 (18.1%) victims were children <5
years of age. These deaths resulted in a CMR of
1.23/10,000/day (95% CI = 1.08–1.38) and an U5MR of
1.03/10,000/day (95% CI = 0.71–1.35).The CMR and U5MR
did not vary significantly by sex (Table 2). The number of
deaths was higher in the last quarter of 2003, then
decreased up to October 2004.
Causes of Death
Diarrheal diseases,malaria,and TB accounted for over half
(61.1%) of all of the deaths (Figures 3a and 3b). Causes of
death did not vary by gender,but varied considerably by age
group (p <0.01). For children <5 years of age, the top five
main causes of deaths were: (1) diarrheal diseases; (2)
malaria; (3) TB; (4) HIV/AIDS; and (5) traffic crashes. In
contrast,the top five main causes of death for persons > _5 years
of age were: (1) diarrheal diseases; (2) malaria; (3) TB; (4)
anemia; and (5) hypertension.
D Di is sc cu us ss si io on n
This study is the first to explore health and nutrition out-
comes in the Cahora Bassa and Changara districts of the
Tete Province.The reported CMR is 1.5 times higher than
the 2003 national average, and 2.5 times higher than the
2003 rate for Tete Province.4It also is >3 times higher than
the baseline for sub-Saharan Africa15and 1.4 times higher
than the CMR cut-off used by the Centers for Disease
Control and Prevention (CDC) to define excess mortality in
emergencies.16Using the 2000 CMR of 0.60/10,000/day17
as the pre-drought baseline and total population of 177,226
in Cahora Bassa and Changara districts,18it was estimated
that about 16,301 excess deaths occurred in both of the dis-
tricts between 2000 and 2004.Nevertheless,the U5MR was
41% lower than the national average.4The U5MR also was
lower than the 1.14/10,000/day baseline for sub-Saharan
Africa and the 2.23/10,000/day used to define excessive
mortality in persons <5 years of age during emergencies.15
Although data have indicated that children <5 years of
age account for the majority of deaths during emergen-
cies,19,20the opposite was found in the current study with
increased mortality in children >5 years of age.Such a pat-
tern is consistent with the situation that has characterized
Tete Province over the last four years. In partnership with
World Vision and the Red Cross, the WFP has been pro-
viding feeding programs for children <5 years of age as well
as lactating and pregnant mothers. These programs have
CMR = x 10,000
Data Processing
Data were entered into SPSS for Windows, version 12.0
(SPSS Inc.,Chicago,IL) and processed using Stata version
7.0 (Stata Corporation, College Station,TX).The propor-
tion of malnutrition and its 95% confidence interval (CI)
was computed while mortality data were expressed per
10,000/day and stratified by age and gender. In Stata, the
"svyset command"was used to specify clustering within the
household, stratification, and weight prior to analysis.
When the outcome was binary, logistic regression was
used. The relationship between the two categorical vari-
ables was examined using the chi-square test.The level of
statistical significance was set at a probability of p <0.05 for
all tests.
R Re es su ul lt ts s
Demographics and Children Anthropometric Measurements
A total of 838 households were surveyed, resulting in a
total population size of 4,688 people. The average house-
hold size was 5.53 persons (95% CI = 5.48,5.58; minimum
= 1; maximum = 14).One in three (37.1%) households sur-
veyed had >5 family members living in the house. More
than half (53.7%) of the sample was male.The median age
was 14 years (range = 0–86 years). One in five people
(21.2%) were children <5 years of age. Anthropometric
data were obtained for 874 children (425 girls and 449
boys) aged 6–59 months, representing 18.6% of the total
population.The calculated Z-score for boys and girls aver-
aged –1.5 (95% CI = –1.7, –1.2) and –1.3 (95% CI = –1.5,
–1.0) for H/A,0.1 (95% CI = –0.1,0.2) and 0.3 (95% CI =
0.1, 0.4) for W/H, and –1.1 (95% CI = –1.3, –0.9) and for
W/A –0.9 (95% CI = –1.1, –0.7) respectively.
The prevalence of malnutrition (acute malnutrition,
underweight, and chronic malnutrition) is summarized in
Table 1. The prevalence of acute and chronic malnutrition
did not vary by sex, but boys were statistically significantly
more likely to be underweight than were girls (OR = 1.34;95%
CI = 1.00, 1.82; p <0.05) after controlling for age, household
size, and food aid beneficiary status. Similarly, children
30–59 months of age were statistically significantly less
likely to suffer from acute malnutrition (OR = 0.45; 95%
Page 5
Prehospital and Disaster Medicinehttp://pdm.medicine.wisc.eduVol.22,No.1
30 Mortality Rates,Prevalence of Malnutrition
Renzaho © 2007 Prehospital and Disaster Medicine
W/H Z-ScoreW/A Z-Score H/A Z-Score
% Adjusted OR% Adjusted OR% Adjusted OR
(95% CI)a
(95% CI)b
(95% CI)c
All 8748.0%NA 26.9%NA 37.0NA
(6.2%, 9.8%) (24.0%, 29.9%)(33.8, 40.2)
Girls425 7.6Ref 23.8Ref 35.1Ref
(5.0, 10.1) (19.7, 27.8)(30.5, 39.6)
Boys 4498.51.14 30.01.34 38.81.19
(5.9, 11.0) (0.68, 1.92)(25.7, 34.2) (1.00, 1.82)* (34.4, 43.5)(0.90, 1.58)
Age Group
6–29 months438 9.8Ref 36.2Ref 40.4Ref
(7.0, 12.6)) (31.7, 40.8)(35.8, 45.0)
30–59 months 436 4.70.4517.5 0.37 34.30.76
(2.7, 6.7)** (0.26, 0.79)**(13.9, 21.1)*** (0.27, 0.51)*** (29.8, 38.8) (0.58, 1.00)
Beneficiary Status
Exbeneficiary of
food aid
298 9.4Ref27.9Ref 34.7Ref
(6.1, 12.7)(22.8, 33.1) (29.3, 40.1)
beneficiary of
food aida
1206.7 0.8030 1.2144.21.57
(2.2, 11.2) (0.35, 1.85)(21.8, 38.2)(0.75, 1.96) (35.2, 53.1) (1.01, 2.43)*
Never been
beneficiary of
food aidb
4567.5 0.7325.50.8936.71.11
(5.1, 9.9) (0.42, 1.27) (21.5, 29.5) (0.63, 1.25) (32.3, 41.1)(0.82, 1.51)
Household Size
≤5 people400 8.5Ref 27.2 Ref38.9Ref
(5.8, 11.2)(22.8, 31.5) (34.1, 43.7)
≥6 people474 7.60.85 26.8 0.94 35.5 0.84
(5.2, 10.0)(0.50, 1.42)(22.7, 30.8)(0.69, 1.28) (31.1, 39.8)(0.63, 1.11)
T Ta ab bl le e 1 1—Prevalence of chronic malnutrition,underweight,and acute malnutrition and adjusted odd ratios (OR) as a
function of demographic variables (H/A = height-for-age; Ref = reference; W/A = weight-for-age; W/H = weight-for-
# Model adjusted for factors in the table;a Prevalence of Acute malnutrition (WHZ <-2);b Prevalence of underweight
(WAZ <-2) c Prevalence of chronic malnutrition (HAZ<-2); *p <0.05; **p <0.01; ***p <0.001
aBeneficiary at the time of the survey;bDischarged from the program


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text:
pumpkin bisque
Submitted by taydanielle
Updated: November 14, 2012
Ingredients4 cups pumpkin, peeled, cut into 1-inch cubes
6 cups chicken stock
4 tablespoons butter
1 large onion, finely minced
3 garlic cloves, minced
1 1/2 teaspoons salt
1 teaspoon dried thyme
1 teaspoon ground ginger
4 tablespoons brown sugar
2 tablespoons fresh lemon juice
black pepper
1 cup heavy cream
Preparation1 Simmer pumpkin in the chicken stock until soft and tender about 25 minutes.
2 Transfer pumpkin to a food processor and puree.
3 Return pumpkin to the chicken stock.
4 In a skillet heat butter to bubbling over medium-high heat.
5 Add minced onion and saut� until clear.
6 Add garlic and saute 1 minute longer.
7 Add salt, thyme, ginger and brown sugar.
8 Add this mixture to the simmering pumpkin stock.
9 Whisk in the lemon juice and pepper.
10 Heat through uncovered for 25 minutes.
11 Stir in the cream and heat 10 minutes.
12 Top with nutmeg-thyme croutons.


text: This is the 1st time I have stayed in a guest house for years and was pleasantly surprised at the high quality & value for money of Buckingham Lodge. Nicky & Steve were lovely, friendly & welcoming. They were very knowledgeable of the local area and its history & very helpful in recommending places to go & see Our room... More


text:
PHILADELPHIA, Dec. 11 /PRNewswire-USNewswire/ -- Autism research led by scientists at the Children's Hospital of Philadelphia has been named one of the top ten medical breakthroughs of 2009 by Time Magazine.
On the magazine's website on Dec. 8, Time cited the largest-ever genetic study of autism spectrum disorders (ASDs), published in April in the journal Nature, by a group led by Hakon Hakonarson, M.D., Ph.D., director of the Center for Applied Genomics at the Children's Hospital of Philadelphia. That study identified DNA variations that account for as many as 15 percent of all ASD cases. Because the gene region affects how brain cells connect with each other in early childhood, the research significantly advances the understanding of how autism originates.
"We are proud of this research discovery, and are glad to see it receive this recognition," said Philip R. Johnson, M.D., chief scientific officer at the Children's Hospital of Philadelphia. "It provides a starting point for translating biological knowledge into future autism treatments."
The autism gene research from Children's Hospital, which included two studies in the same issue of Nature, received extensive news coverage, including the CBS Evening News, ABC World News Tonight, BBC, Reuters, the Chicago Tribune, the Philadelphia Inquirer, and other news outlets in the U.K., India, Australia, Germany and China. Hakonarson's main collaborator was neuroscientist Gerard D. Schellenberg, Ph.D., of the University of Pennsylvania School of Medicine, with other scientists participating from 14 additional centers.
To see Time's description of new research on autism, click here:
|SOURCE The Children's Hospital of Philadelphia
Copyright©2009 PR Newswire.
All rights reserved


text:
Tags: color
COLORED PENCIL Student: Summer 2015
In this issue: Intro to Paper, Signature Branding, Lesson #11 Little Flower, Rounding It Up, Finish What You Start, Small Art Big Business, Putting…Digest / 5.25" x 8.25"Print: $9.99 Digital: $4.99
COLORED PENCIL Magazine: July 2015
In this issue: Charting your Course, Art & Instagram, Water Drops, Hanging your Art, and more! Featuring: Lisa Clough-LachriStandard / 8.25" x 10.75"Print: $5.99 Digital: $2.99
photozines: photozine 10, June 2015
This is the tenth of the series of photozines showcasing my ongoing photography. This publication contains my photographs from April 2015 until…Square / 8" x 8"Print: $10.00
Phoenix: Photographs by Joseph Podlesnik
Photo essay of Phoenix, Arizona - photographed between 2010-2014. Layout, image sequence and introduction by filmmaker/artist Jon Jost.Square / 8" x 8"Print + Digital: $25.00 Digital: $4.30
Le Statement Magazine Outerwear May 2015
Women's and Men's fashion, independent designers, photographers and models , newyorkStandard / 8.25" x 10.75"Print + Digital: $5.50 Digital: Free!
COLORED PENCIL Magazine: June 2015
In this issue: Journey to Wisdom, Rebecca's Reptiles, Encausticbord Review, Finding the Right Color, Summer Getaway Giveaway and more! Featuring:…Standard / 8.25" x 10.75"Print: $5.99 Digital: $2.99
A collection of interlaced images of foliage found in central Texas, C.M.Y.K. draws inspiration from classic bookmaker Anna Atkins in it's use of…Square / 8" x 8"Print + Digital: $40.00 Digital: $15.00
Cynical Fashion Magazine Issue #11 vol 2
Dash of Color- Having no more than ONE or TWO colors as the sole focus throughout an entire set.Standard / 8.25" x 10.75"Print: $18.00 Digital: $5.00
Cynical Fashion Mag issue #11 vol 1
Dash of Color- Having no more than ONE or TWO colors as the sole focus throughout an entire set.Standard / 8.25" x 10.75"Print: $18.00 Digital: $5.00
COLORED PENCIL Magazine: May 2015
In this issue: 8 Steps to Start Now, Burnishing Solutions, Foxes Tutorial, Color Calibrate Your Monitor, and more, Featuring Andrea Placer.Standard / 8.25" x 10.75"Print: $5.99 Digital: $2.99


text:
Letter: Missing something
Tara Linn, Naples
Missing something
Why are we obsessed with Mitt Romney's money and tax returns?
Our country is falling apart around us, unemployment has and will continue to destroy families and yet our priority is what Romney paid in taxes for the last decade.
We demand to know just how much money Romney has; however, we do not demand that our elected officials in Washington do the job we are paying them to do.
By the way, all of these representatives are very rich men and women; should we focus on their tax returns? Or should we insist that they do the job they are being paid to do?
President Barack Obama made it clear in his first campaign that retribution was in order for the rich. Candidate Obama worked on emotions and obviously did a good job of convincing folks that rich people are evil and much of what they have they don't deserve because they didn't build it.
I guess the roads and schools allowing the rich to prosper were built and paid for — as cartoonist Bruce Tinsley suggests — by leprechauns!
Obama has made the argument that taking away other people's wealth is the answer to our economy and national debt. This basic division of the rich and poor has worked well for the president. Too bad none of this demagoguery will help our imploding economy.
Perhaps giving radical Muslims an excuse to terrorize, kill and burn our flag while we demonize the Mormon religion will help the national debt.
Subscribe to the Naples Daily News
Need Help? Call us at 1-888-878-6842.
Monday-Friday: 6am-6pm / Saturday: 7am-3pm / Sunday: 7am-2pm


text:
Jennifer Lopez is quite the busy mom. After shutting down Paris Fashion Week, she went right back on tour. She was spotted outside of her hotel in Madrid, Spain wearing a pair of $1,125 Fendi Fendista Platform Booties, a peplum turtleneck, skinny pants, and sunglasses.
Her booties feature a suede upper with leather soles, a 5 inch heel, and 1 inch platform.
If you're looking to splurge on these beauts, get them here.
Cute and effortless!
What do you think? Would you rock this look?


text:
Suppliers of the finest HiFi and Home Cinema
For free advice or a site survey, please call us on 0118 982 0402. We have over 20 years experience of providing the very best in HiFi and Home Cinema Installations
We make everything you listen to at home sound better.
We have a professional, friendly, relaxed service, superb demonstration rooms and no sales pressure. A refreshing change! We want your time with us to be an easy and enjoyable experience right from the moment you call us.
We are one of only a handful of Linn Klimax Level dealers in the UK. A Linn DSM will make everything you listen to at home sound better. come and see what we mean !
Berkshire's premier Naim Specialist with extensive demo stock From simple one-box systems that sound stunning, up to the most elaborate Audiophile systems.
Anthem / Sim2 Screening Room specialist See home cinema Installations that you'd normally find in Hollywood screening rooms for film production.
Installation and Service backed by our ISO9001 quality assurance. We believe we are the only company in our sector that has ISO 9001 accreditation.


text:
I did not paint the center part because the paint can indicated it was limited to 200F, however, in use the top surface does not get that hot. So I will go ahead and paint that part also.
PS: Jeff, I got an email from someone reading as follows "....maybe interested in parting with one of the [8x10] Horizontal Devere's..."
I can't post a picture on the PM, so I'm hijacking the thread to show it here. PM me if you have any interest.


text:
Inventables is coming to AMT on May 16 to donate a Shapeoko 2 to the space. The Shapeoko is an extruded aluminum CNC router that is paired with the Easel software for easy use. Inventables will walk us through the Shapeoko a bit and be providing pizza and beer for folks.
This looks like an awesome little machine, and you can't beat free. Who wants to come learn about it? RSVP at the Meetup page so they know how much beer and pizza to acquire.
You can find more information about Inventables at https://www.inventables.com and the Shapeoko 2 at http://www.shapeoko.com (and docs for it at http://docs.shapeoko.com/index.html).
Starting April 5, Ace Monster Toys is pleased to host a month of design courses and workshops with Régis Lemberthe of A&Ré Design! Originally trained as an industrial designer, Régis graduated with his Master's Degree in Humanitarian Design And Sustainable Living before moving to Berlin and getting involved in the local maker community. He now presents several different workshops there, in parallel with his activities as part of A&Ré Design Studio.
From his description:
Cool stuff happening at AMT. Click links for details / pictures:
1. Our CNC Metal Mill is fully operational now, come mill some parts out of solid blocks of aluminum!
2. Our large-format printer has been repaired, and can now print full color canvas banners 40"+ wide
3. AMT will have a table at East Bay Mini Maker Faire later next month, check us out!
4. The potential space across the street from Lowell did not fit our requirements, we found any space larger than 2500sqft we will be required to have sprinklers
5. We printed some wood filament on our Makerbot. Kind of neat.
6. Seeedstudio stopped by and showed off their stuff and gave us t-shirts
7. Someone brought delicious cake to a Thursday meeting
8. Stefan is making a bow (for archery!)
9. Microcontroller nights have been busy as usual
10. Our mini CNC router has been used to mill PCBs (instructions)
11. Instructables promised us a laser cutter then gave us the run-around for months and then said sorry just kidding.
At the June 20, 2013 quarterly membership meeting, our new Ace Monster Toys board of directors was elected. Due to our new move to staggered terms, three of the new directors will serve for six months and two will serve a year, so we can then stagger year-long terms but have continuity between individual boards.
The new board consists of the following members:
Congratulations to our new board members.
Ace Monster Toys is a non-profit hackerspace based in Oakland, CA, dedicated towards education, hacking, and maker culture.
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Get your little one in tune with their surroundings with the Safetly 1st Prelude Infant Playard in Magnolia 2. With a cozy bassinet that's perfect for napping and a spacious play yard when they're ready to explore, it's the perfect piece, whether you're humming them a lullaby or singing a rousing chorus of the ABCs.
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text:
Nickelodeon (ended 2001)
The Day the World got Really Screwed Up!
Nuff said.
Big round sticky fish thinggy
Stump looks for his roots
Friends Romans Beavers
Brothers...to the end?
Things That Go Hook in the night
Fakin It
Yak in the Sak
If You Insisters
Food of the Clods
Pass it On
I Dare You
Beaver Fever
Oh Brother?
3 Dag Night
When I bought Shout!'s S1&2 set, my memory was very hazy with all but one episode: Beaver Fever, which would probably get my vote as best episode.


text:
Closing in on Women at the Wall
The arrest of a leading Reform rabbi last week raised a tempest among American Jews, and regulations at the Kotel plaza reached a nadir: banning women from wearing a tallit.
After a period of calm, the past six months have witnessed a genuine escalation in tensions between women who come to pray at the Western Wall and the Wall's chief rabbi and police. Last Friday, members of the group Women of the Wall were arrested in the third such incident in three months. Among those arrested was Rabbi Elyse Frishman, a well-known American Reform Jewish leader and the editor of the Reform...
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Joe Larsen, the Beverly Hills Police Department's one-man stalker squad, begins his hunt for Admirer, helped by Chris's closest friend, Danny Devere. But the hunt works both ways, and soon Larsen is desperate to save Chris from Admirer and his own career from his inability to corner the stalker. The only answer is a trap, and Larsen knows the only bait is a blind and nearly helpless Chris. Their plight is made worse by his one big mistake.
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Stone Barrington is back. Stuart Woods has created no better known or loved character than the ex-cop, Manhattan attorney and investigator whose work treads the thin line between the respectable practice of law and the dark side of humanity.
In Dead in the Water, Stone has hardly arrived in St. Marks, a lovely Caribbean island nation, on a sailing vacation when something very strange happens: a beautiful young woman sails into the harbor, entirely alone on a large yacht. Before long, she is under the intense scrutiny of the local authorities, in the very considerable person of Sir Winston Sutherland, the minister of justice. The problem is, though she arrived alone, she had departed the other side of the Atlantic in the company of her husband, a well-known writer, who is no longer in evidence.
Evidence is what fascinates Stone Barrington, and he is all that stands between the apparently innocent Allison Manning and the patently evil intent of Sir Winston, whose motives are unclear. What is clear is that the St. Marks system of justice bears little resemblance to the American courts to which Stone is accustomed, and that his smallest error could prove fatal to his client. Dead in the Water is a rollercoaster ride, teeming with the plot twists that have made the novels of Stuart Woods New York Times bestsellers and international hits.
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The classic techno-thriller of superpower espionage from New York Times bestselling master of suspense Stuart Woods!
Sifting through reams of seemingly unrelated intelligence, CIA analyst Katherine Rule discovers a chilling pattern: an ultrasecret Baltic submarine base...a crafty Russian spy-master in command...a carefully planned invasion about to be launched from dark waters.
Her suspicions, however, are dismissed by those higher up; her theory, they say, is too crazy to be true. But to Katherine, it's just crazy enough to succeed--unless she can stop it. If she's right, an attack sub has already penetrated friendly waters. Worse yet, the enemy has penetrated deep into her own life, so deep she can touch him. And in this game, one wrong touch can mean Armageddon.
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Feared and loathed for her poison pen and ice queen persona, Amanda Dart has made her share of enemies. Then the tables are turned. An anonymous gossipmonger is faxing Amanda's personal and private peccadilloes to anyone who can read. Desperate to save her reputation, she enlists the help of New York lawyer and private investigator Stone Barrington to learn the identity of the faxer. And everyone in the world of tabloid journalism becomes a suspect.
But the faxes don't stop. In fact, they get worse. And Stone winds up with more leads than one man can handle, until Amanda takes matters dangerously into her own hands and turns the world of gossip on its head. As the circle of suspects shrinks, Stone discovers that even the most respected members of the social scene will stop at nothingeven homicideto clear their sullied names.
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Will Lee has returned to his roots to kick off his campaign for the Senate. A prominent lawyer, he has come back to his hometown of Delano, Georgia, to plan his strategies, and to argue an explosively controversial case that could seriously damage his fledgling political career. For Delano is a town with a dark secret -- a smoldering hotbed of racial hatred and moral outrage, held in the thrall of a sinister group called The Elect. Its violent, evil forces will stop at nothing to keep the candidate out of office. But Will Lee isn't about to back down, even though it may cost him his career -- and his life.
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If this were an Alfred Hitchcock movie, the solution would be obvious. Enter a stranger with wife problems of his own, who offers a violent -- and mutually advantageous - proposal.
Them in the time it takes to whisper a word, Kinsolving's normal life ends. What radiates like a mirage before him is wealth, security, and freedom. But lurking in the shadows are a brutal murder he cannot prevent, and a madman who stalks his every waking moment.
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Vinnie Callabrese toils in the mean world of a Mafia hood, violently enforcing his loan-shark boss's debt collections, but he lives in the world of the movies, one where he can tie a bow tie like Cary Grant and speak with the voice of Tyrone Power.
Vinnie is smart, too, and he finds a way to turn his dream world into reality. Arriving on the West Coast with a new identity and some ill-gotten gains, Vinnie discovers that his sociopathic nature is just the ticket for handling the intrigues of tinseltown. He employs his old techniques of deceit, coercion, sexual conquest -- even murder -- to carve out a place at the top of the film industry.
But Vinnie's old neighborhood friends have excellent memories and a long reach, and soon his fast-track career is facing derailment -- or even worse, a new driver at the controls.
Performed by Tony Roberts
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It Was Just Luck Everyone is always telling Stone Barrington that he's too smart to be a cop, but it's pure luck that places him on the streets in the dead of night, just in time to witness the horrifying incident that turns his life inside out. Suddenly he is on the front page of every New York newspaper, and his life is hopelessly entwined in the increasingly shocking life (and death) of Sasha Nijinsky, the country's hottest and most beautiful television anchorwoman. No matter where he turns, the case is waiting for him, haunting his nights and turning his days into a living hell. Stone finds himself caught in a perilous web of unspeakable crimes, dangerous friends, and sexual depravity that has throughout it one common thread: Sasha. "Suspenseful and surprising." Atlanta Journal-Constitution "Hollywood slick and fast-moving." Los Angeles Daily News
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Talk about a bad first day. Major Holly Barker thought she was getting out of a mess when she left the army. She'd been sexually harassed by her superior, but the exigencies of the military legal system wound up wrecking her career. Orchid Beach seemed like the perfect place to start over. Though Chief Marley, an old family friend, was worried about some local increases in the drug trade, the Florida barrier island was not a crime mecca. As the new deputy police chief, Holly would be stepping on the toes of a few Orchid Beach P.D. regulars who were being overlooked for the job, but she would prove her worth in short order. After installing her trailer in Riverview, though, the bad news started to flood the Beach. The chief was found along the side of highway A1A with a bullet through the head, and his closest friend just had his skull blown apart with the chief's shotgun. Now, Holly is the acting chief in a town she hardly knows and with a police force that's full of animosity towards its newly minted leader. Just about the only consolation is that Holly has inherited Daisy, a Doberman who's about the best and most faithful friend a troubled gal could ask for; Daisy's a fierce defender of her master and she knows how to retrieve a beer on command.
Holly is a new character for Stuart Woods, and the author wastes no time getting readers into the thick of the mystery. This means that character takes a bit of a back seat to plotting in Orchid Beach, but with a mystery this fast-paced, the tradeoff is worthwhile. --Patrick O'Kelley
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When both your past and future spell fear.
Award-winning author Stuart Woods has crafted a masterful novel no reader will soon forget. For years, Liz Barwick has been battered by her brutal husband, a famous pro football player. This time it takes an emergency room to keep her from death. Now, the beautiful and talented photographer retreats to an island paradise off Georgia's coast to find solitude--and herself.
As she becomes increasingly involved with the strange and handsome twin scions of the powerful Drummond family, she feels her traumatic memories begin to fade. But when a killer launches a series of gruesome murders, Liz discovers that there is no place to hide--not even in her lover's arms.
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Stuart Woods's lean, taut thrillers typically feature a helping of Hollywood glitz along with a suave, sophisticated hero who gets his man and usually the girl, too. His newest is a convincing variation on that formula, featuring an eminently decent, likable hero we've met before in a couple of legal thrillers (Run Before the Wind, Grass Roots). Now Will Lee is a senator from Georgia with somewhat ambivalent aspirations to the presidency; think Bill Clinton with a stronger moral center and a more conventional marriage, to a smart, sexy wife named Kate, who happens to be a high-ranking CIA executive. When the sitting vice president, who's slated to be the party's standard-bearer in the upcoming election, tells Will in confidence that he's just been diagnosed with early Alzheimer's disease, Will decides to make the run of the title. That's good news for an imprisoned former CIA agent (think Aldrich Ames) who was Kate Lee's mentor in the agency; he knows his only possible chance for a pardon is Will's election, and he has enough dirt on the senator's rivals to blackmail them into getting out of the way. Throw in a right-wing fanatic with a long-standing grudge against Will and a determination to assassinate him before he can make it to the White House, and you have all the ingredients for a successful run at the bestseller list. But while Woods's many fans will cheer for both the author and his protagonist, that may not be enough to vault this one to the top; Will doesn't seem to have the requisite fire in the belly, and neither does Woods in what is ultimately a fairly tepid read. --Jane Adams
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Better Off Dead
Successful Hollywood movie producer Wolf Willett is stunned when he happens to read his own New York Times obituary--victim of a sordid triple homicide amid a steamy mÉage À trois with his young bride and best friend. Who's the corpse? Who wants him dead? And why has Wolf blacked out the entire evening of the grisly crime?
Unfortunatly, the Santa Fe D.A. thinks Wolf has all the answers. With the means, the motive and an inexplicable memory loss, he is promptly arrested--star suspect in a murder case that's making headlines from coast to coast. Then another murder complicates the scenario. With help from hot shot criminal attorney Ed Eagle and with New Mexico's death penalty as an incentive, Wolf races to clear his name--and dodge the real killer--in this thrilling novel of mazes, mystery and murder.
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Sinking Like A Stone
Stone Barrington thought he'd heard the last of former girlfriend Arrington after she'd left him to marry Vance Calder, Hollywood's hottest star. The last thing Stone expected was a desperate call from Calder. Arrington has vanished, and her new fiance; wants Stone to come to LA and find her.
In a town where the sharks drive Bentleys and no one can be trusted, Stone soon discovers he's drowning in a sea of empty clues that take him from Bel Air to Malibu to Rodeo Drive. Running out of time and leads, he needs to keep his head above water and find Arrington fast, or end up swimming with the fishes himself.
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Still Waters
Situated on a peaceful lake in the prettiest part of the north Georgia mountains, Sutherland seems like a nice town, warm and quiet. The kind of place where families know their neighbors and children can grow up safe.
Run Deep
But this picture-perfect hamlet harbors a dark evil -- whispered rumors of greed, incest, and savagery. Buried deep within the lake's waters are hideous secrets, unspeakable horrors that can turn hair white and drive a person mad. Wicked lies that can kill.
And Deadly
Now, one unknowing outsider has the power to reveal the terrifying truth...if he lives.
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They should have killed Catledge. But they let him live while they savagely brutalized his wife and daughter. Let him live while they sent his yacht and his family to the bottom of the Caribbean. Let him live knowing he could never find the killers in the drug towns of Colombia. Then, late one night back in the States, the phone rang. And one word gave Catledge something to live for. One word that launched a one-man war against a ruthless outlaw.
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Stone Barrington is Back!
Not a man to dwell on the past, Stone Barrington has no choice but to rattle old skeletons when the people closest to him start dying, and he has little to go on but the suspicion that. the killer may be someone he once knew. The trip down memory lane isn't all bad though, for it reunites Stone with his ex-partner, Dino Bacchetti--now head of detectives in the nineteenth precinct.Trying to find a brilliant killer in a sea of old faces is difficult enough without Stone's former love, Arrington, now Mrs. Vance Calder, resurfacing, too--especially when she sets off her own fireworks coming nose to nose with his latest flame, a Mafia princess as beautiful as she is dangerous.
Caught on thrill ride of a case that tests him as none has ever done before, Stone races to find a twisted madman with a taste for blood vengeance, with only a prayer to find him before Stone's worst fears are realized.
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Cherry Mobile Flare S4 Plus hands-on, first impressions - 3 hours ago
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Mineski.Infinity suffers crushing defeat at DoTA 2
Representing the Philippines in "The International" DoTA 2 Tournament is team Mineski.Infinity which started last August 17 and ends today.
We were rooting for them all week and was glued on the DoTA2 livestream and YouTube replays for the group matches.
Unfortunately, our DoTA 2 flag carrier weren't strong enough to advance even to the semis and bring home any prize (champion gets $1 million while 8th place gets $25,000).
Mineski.Infinity didn't had a good start with 0 wins a 3 loses at the initial Group Stage. They proceeded to the Bracket Stage (under Losers Bracket) with a surprise win over OK.Nirvana.CN (one of 4 teams from China) in Round 1. They then fought off in Round 2 against Russian team M5 (Moscow Five) to no avail, eventually being eliminated from the tournament at this point.
Here's a replay of their winning match against OK.Nirvana.CN:
Mineski.Infinity went home with a final score of 1 win and 4 loses, ranking between 9th to 12th of the 16-team tournament.
The championship will be played today between Na`Vi of Ukraine and the winner of the Losers Bracket (either EHOME of China or Scythe.SG of Singapore).
19 Comments on this Post
Lakas ng scythe. Dominate nila MYM which is one of the top dota teams.
dapat mga tambay na lang sa kanto nilaban.. baka magagaling pa mga yan :)
prang beginners ang laro kc, mukhang kinabahan yata,.
tama si watrboy..
wtf. mas magaling pa si Lola Techie Mineski.Infinity next time wag na kayo sasali tourney nakakahiya. pang netshop lang name nyo.
dapat mag chupaan nlng keo
Na'vi nanalo sa pagkakaalam ko..
They were left in the dust in terms of strategy.
You can even see that kind of gameplay on garena Phil servers.
It shows the elaborate strategies and execution of well-practiced PROFESSIONAL teams. Individually mineski might have some of the best players in asia but they still have a lot to learn with respect to team play, which showed when M5 shut them down.
Nanibago din siguro sa graphics. haha! magagaling mga yan kaso international e. parang ung team sa amin sa province, magagaling sila pero nung nagpunta ng manila ayun nilampaso lang. haha
nagkataon lng yan. haha nahihiya na siguro sila umuwi dito! haha sayang naman.dami pa naman nilang fans na umaasa!
mineski bogok ASA…….
Dapat sana kasi nagkaroon ng patournament dito sa Pinas na kahit sino pede makasali para makita talaga kung sino pedeng magrepresent sa atin. Like watrboy said, kahit minsan mga kanto boys lang eh magagaling, which means hindi porke't mayaman o may kaya eh sila lang pede makapaglaro.
I'm not telling na di magaling mineski.infinity, my point if we are serious about this, then we must have a tournament or contest nationwide to create a team which will represent the Phils. in this kind of tournament and they should enhanced their skills to be 'the best of the best' DoTA players in the country.
i agree to what Yusuke said…
talagang may bahid ng politika ang palaro natin.. kahit saan.. kaya di umaasenso..
fail talaga ang mineski in this tourna..according to them, they only had 4 days of preparation for DotA2..tapos lag pa daw..well, i know excuses lang yun and sobrang lakas din talaga ng kalaban..
they had a good come back in the recent tournament in SG though..pero regionals lang yun..magkakalaman na sa international level.
epic fail :{
@Yusuke: ang mga tambay walang pambayad sa comp shop.pano sila magppractice? yung mga may pera talaga ang may advantage dito..they can roam around the Philippines para makipagpustahan and gain experience.. and..sila palagi ang champion sa kahit anong tournament..kaya it wont make a difference kung magpapatourna pa for this event..
Sila rhorho kaya ok yung experience, kascrim nila mga taga Malaysia, China etc..and fyi..hindi lahat ng mineski mayaman..btw I'm not a fan of Mineski..I used to support team Flow..yung iba sa kanila Duskbin na ngayon (but they shifted to HoN)
Although it was a crushing defeat in the 1st International Dota 2 tournament, there is a big chance another Pinoy team will compete next year.
sayang talo mga idol ko, pano bago pa lang siguro sa kanila DOTA2 ibang iba compared to DOTA.
may dota 2 naba dito sa pinas? enge naman beta key salamat.


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For over 17 years, Computer Central has been helping the Worcester County community with their computer and IT needs.
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Tim Lahey, M.D.
Associate Professor of Medicine
Associate Professor of Microbiology and Immunology
Associate Professor of The Dartmouth Institute
Microbiology and Immunology
The Dartmouth Institute
AB, Georgetown University, 1990
MD, Duke University, 1998
MMSc, Harvard Medical School, 2007
Medicine Residency, University of Utah, 1998-2001
Chief Resident, University of Utah, 2001-2002
ID Fellowship, Beth Israel Deaconess MC, 2002-2005
Research Fellowship, Massachusetts General Hosp, 2003-2005
Program in Experimental and Molecular Medicine
Curriculum Vitae:
NIH Biosketch:
Contact Information:
Infectious Diseases & Int'l Health
One Medical Center Drive
Lebanon NH 03756
Office: (603) 650-6063
Fax: (603) 650-6199
Email: email@example.com
Assistant: Diane Kiernan
Professional Interests:
HIV/Tuberculosis Immunology. Through the Dar Dar Trial, the largest trial of a TB vaccine candidate in the world to date, we have analyzed how spontaneous and vaccine-mediated immune responses protect HIV-infected adults from TB.
Mucosal transmission of HIV. We have investigated how semen protects target cells from HIV infection by modulating T cell receptor expression via modulation of cell surface expression of HIV receptor and co-receptors, thereby shaping the tropism of the transmitted virus. We have also found that semen has a profound anti-inflammatory effect on CD4+ T cells. Furthermore, in collaboration with the Wira lab at Dartmouth, we have studied how endogenous microbicides in cervicovaginal fluids protect women from HIV transmission to target cells.
Immunology of regulatory T cells during HIV infection. We have examined the role of regulatory T cell-associated costimulatory molecule interactions in modulating HIV-specific T cell responses and susceptibility to cell death, and the role of regulatory T cells in protecting CD4+ target cells from HIV infection.
Rotations and Thesis Projects:
Thesis project: "Semen Protects CD4+ T cells from HIV infection," Emmanuel Balandya, MD, Fogarty Fellow, PhD 2012 --> post-doc at Harvard Medical School.
Grant Information:
1. PI, Mentored Clinical Scientist Development Award 1K08AI069915-01, "Mechanisms of Regulatory T cell Mediated Suppression of HIV-specific Cellular Immunity," 2006-2011
2. Subproject director, NCRR Centers of Biomedical Research Excellence, 5P20RR016437-08, "Center for Molecular, Cellular, and Translational Immunological Research," 2009-present.
3. PI, Hitchcock Foundation Henry Heyl Award 2005
4. PI, Infectious Diseases Society of America ERF/NFID Astellas Young Investigator Award 2007
5. Co-PI, Strategy 4 grant for Translational HIV/TB Research Specimen Repository
6. PI, Hitchcock Foundation Research Grant 2010 "Semen protects CD4+ T cells from HIV infection"
7. PI, Campbell Foundation grant 2010 "Semen protects CD4+ T cells from HIV infection"
Courses Taught:
Scientific Basis of Medicine - Infectious Diseases, course director
Advanced Medical Sciences, course director
Infectious Diseases Elective, clerkship director
Medical Pharmacology
Medical Microbiology
Ethics sessions, On Doctoring
Intro to Clinical Ethics
Dartmouth Community Medical School
Virology (undergraduate)
Immunology (undergraduate)
Human Biology (undergraduate)
Tim Lahey is an HIV and infectious diseases doctor, the chair of clinical ethics committee at Dartmouth-Hitchcock Medical Center, and a clinical immunologist with a focus on HIV transmission and tuberculosis vaccines.
Tim studied at Georgetown University, Duke University School of Medicine, and Harvard Medical School and completed clinical and research training at LDS Hospital and the University of Utah, Beth Israel Deaconess Medical Center, and the Massachusetts General Hospital including the Partners AIDS Research Center.
Tim is the project leader for the Geisel Curriculum Redesign of 2011-2019 as well as co-director for the Ethics & Humanities Working Group. In addition to directing the SBM Infectious Diseases and Advanced Medical Sciences courses, Tim runs the Clinical Infectious Diseases Elective, co-directs the Ethics & Humanities Theme, and teaches in many other courses along with providing mentorship through the Albert Schweitzer Fellowship and Physicians for Human Rights.
Tim's teaching honors include the Clinical Science Teaching Award in 2010, Distinguished Lecturer 2011, Almy Professor's Award for Excellence in Teaching 2011, Gold Humanism Scholar 2012, and selection as graduation farewell speaker every year from 2009 to 2014.
Selected Publications:
A proposed nationwide reporting system to satisfy the ethical obligation to prevent drug diversion-related transmission of hepatitis C in healthcare facilities.
The high costs of "free" drug samples.
An ethical framework for global psychiatry.
The ethics of mandatory flu shots. Balancing patient protection with healthcare worker autonomy is essential.
The ethics of clinical research in low- and middle-income countries.
Greater preexisting interferon γ responses to mycobacterial antigens and lower bacillary load during HIV-associated tuberculosis.
Recurrent tuberculosis risk among HIV-infected adults in Tanzania with prior active tuberculosis.
Human seminal plasma fosters CD4(+) regulatory T-cell phenotype and transforming growth factor-β1 expression.
Selective impact of HIV disease progression on the innate immune system in the human female reproductive tract.
Molecular epidemiology of HIV-associated tuberculosis in Dar es Salaam, Tanzania: strain predominance, clustering, and polyclonal disease.


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Should I try for a vaginal birth after having a c-section?
I'm pregnant with my second child, and I have the option of trying for a vaginal birth after cesarean (VBAC). I'm having a really hard time with the decision, and I haven't been able to talk to anyone who's been through this. Can anyone share their experience?
Posted: 10/05/2004 by a BabyCenter Member
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I am 37w 3d with 2nd pg. With my first, I had an emerg. section due to fetal distress. I was at 10 cm and only pushed for 15 or 20 min. Then I was rushed in and my fiance was not in his scrubs in time so I was alone for the birth. My son was shown to me for a second before even being cleaned off. Then I was put in the recovery room for an hour by myself, while my fiance and our family got to hold our son. It was a very long hour. So with this one I chose to try for a vbac, because the experience I had was not the way childbirth is meant to be. If I have to have a section again...well at least I tried. Good luck to all you mom's to be!posted 03/08/2005 by a BabyCenter Member
When I went into labor with my first son his heart rate was dropping consistently and the head nurse(after unable to get a hold of my doctor) called an emergency C-section. My doctor never discussed a C-section with me previously, but the nurse did a wonderful job explaining the procedure. I was scared but new what to expect. My son was 5lb 3oz, dry birth, Melanoma, and the ambilical cord was wrapped around his neck twice. My son spent the first 10 days of his life in an incubator being feed thru a tube. I had a stress test earlier that morning and my sons heart rate was dropping then, but when the nurse notified my doctor he did nothing. When I started labor and called him he told me I was not in labor and the pains I was having were normal. Needless to say God itervened thru the head nurse to make a decision that gave my son life. I have since then had another C/S that was planned and it went wonderfully and I am 6 mos. pregnant again and will have another c-section. I was told having a vbac after a c-section is possible and highly favorable by insurance providers,for vaginal deliveries cost half+ the price of a C/S. My doctor suggested another C/S due to the risk of unsuccesful vbac that could result an a C/S any way. He also reassured me that it was my choice and he supports which ever I chose. After talking to a few woman who have tried a vbac and ended up having a C/S any way, I belived my doctor was not feeding me a bunch of bull and chose to go with what I was used to C/S. Every woman is not the same and it is up to each of us to make our own decisions based on our own comfort levels and to trust in God and let him lead you and your husband to the right decision for you and your baby. Only God knows what the devil is trying to rob you of and only he can end his evil plan and deliver your bundle of Joy. God bless and I hope my story can help someone make a comfortable decision which ever they decide.posted 10/18/2004 by a BabyCenter Member
I had a c-section after 23 hours of induced labor with my first child, who was 10 days late. During my second pregnancy,I wanted to try to go through labor and deliver vaginally because I knew that if I did not deliver I would have to have sections for all of my pregnancies. (We hope to have 4.) My doctors were not encouraging about my choice, but agreed to let my have a trial of labor. Every time you are in labor it is different! With my second delivery, my water broke and my daughter was born so quickly that not only was there no chance for an epidural, but my doctor didn't make it to the hopital in time for the delivery. Throughout my second pregnancy my husband and I prayed about having a natural birth and I am so thankful that those prayers were answered. Now, I am pregnant with my third child and every time I see my OB, he asks if I still want to VBAC and says that if anyone is a good candidate, I am. I would not do anything to endanger the life of our baby or my own, but the recovery after a vaginal birth does not compare to the recovery after surgery. It was amazing to get up and walk to the bathroom minutes after giving birth! My story is one which shows that VBAC deliveries can turn out very well.posted 10/18/2004 by a BabyCenter Member
My first child was born emergency C-Sect because she was breech and I went into labor early before I had scheduled the C-Section. My second child was also a C-section because I lived in a very rural area where there was no anethesiologist there who could be "on call" for a trial labor. I'm now expecting #3, and finally get a trial VBAC because I live in an area with adequete facilities to deal with these issues. I'm nervous...yet excited. I feel like this is all so new, and I've already been a mom twice already!posted 10/12/2004 by a BabyCenter Member
I had a successful VBAC. My daughter was born emergency C-sec and I tried with my doctors support to deliver vag with my son. All went well and he is now 5. I am pg with my 3rd and I am gonna try again to deliver vag. But I am open to csec if it is deemed neccessary.posted 10/11/2004 by a BabyCenter Member
I can't say my opinion is one way or the other. I just had a c-section 6 months ago b/c my son was breech. My doctor said I can try for a VBAC next time if I want, but b/c of rupture risk I am leaning towards just going for the c-section. I am responding b/c I want anyone who needs encouraging that you are still as good of a mother if you have a c-section as if you had a vaginal birth. A c-section may not include pushing, but it's not any piece of cake either and it's usually not your choice you're having one. I would have loved to not have a c-section, but that wasn't my choice. I am glad women feel accomplished completing a vaginal birth, but to c-section moms: don't short change yourself!!!posted 02/26/2010 by a BabyCenter Member
I belive you should try a Vbac If you want one, and if medically you can. I have had 6 children, first 3 vaginally, then c section, then 2 Vbacs. Not every DR. or hospital is VBAC friendly though so choose wisely. Here is my Vbac story... http://community.babycenter.com/post/a21408747/my_fast_and_wonderful_induced_vbac_storyposted 02/17/2010 by 16503
My first was a c/s, 12 days past due date. I labored then pushed for almost 3 hrs, with her head getting stuck and needing the c/s. After that, the dr kept a close eye on my pg/baby size and we opted to induce baby #2 1 week prior to my due date, to atempt a Vbac - she was 8.7lbs and I had a great delivery. Babies 3 & 4 were also VBac inductions 8lbers. Baby #5 I went into labor on my own and delivered vbac again 9.1 lbs. Baby 6 was 5 weeks early, vbac, breech and #7 was 9lbs vbac at 37weeks. I was really glad that I was able to have vbac deliveries, as I really enjoyed the labor/birth and recovery was a lot easier. While c/s can be necessasry, I don't feel that just because you ahve one means you must elect for more - if your Dr feels that it is safe for you to try, and you are monitored during labor, I would consider a vbac.posted 02/21/2010 by 7gifts
I had my first son via emergency c-section seven years ago. The cord was wrapped around his little neck and we had to get him out quickly. The worse thing that happened with my c-section was that the anesthesiologist let her trainee use me to practice on. He couldn't get the needle in. I ended up having a train track about 3 inches long down my spine. Once the real anesthesiologist got the needle in, there was no pain and no complications. It's taken us 7 years to finally conceive again. My MD told me it would be my choice wether to try vaginal delivery or to have another c-section. I've opted for the c-section - if everything goes as planned - my 2nd son will be delivered on April 5, 2010. The reason I opted for the c-section is because I healed so quickly. I had my son @ 2pm and was up walking albeit slowly to the nursery to feed him by 6pm that evening. I knew the quicker I was up and moving around the better off I'd be. Everyone's body is different though. Good luck!posted 02/02/2010 by a BabyCenter Member
the only problem with the vbac issue is my doctor won't let me have one because she isn't sure how the military cut me when they gave me an emergency c-section with my second child. i really want a vaginal birth because it was only a 6 hour labor with my oldest son. plus the c-section with my second child ended badly and i'm scared of losing another child.posted 01/18/2010 by candijones84
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Headphone Amplifiers
JDS Labs Assembled Objective2 Headphone Amplifier
" Without referring to "He-Who-Must-Not-Be-Named's" (A.K.A. NwAvGuy) blog, and speaking from my own listening experiences, I really do think the Objective 2 is a great headphone amplifier. No, I don't think this is the amp to end all amps, but it's a dang good one and it only cost me $156 USD (which includes the Triad brand WAU12-200 AC adaptor). In fact, it can be found..." --miceblue
JDS Labs CMoyBB
" Here is my video review of the JDS Labs cMoyBB v2.03. " --SpiderNhan
JDS Labs C5 Headphone Amplifier
"Okay, a serious question not related to the review: what is the difference between the "Audio Quality" rating and the "Quality" rating, and how is the "Quality" rating different from the "Design" rating? *scratches head* Anyway, back to the review. I did a video review for the C5 on YouTube if you are interested in an auditory/visual..." --miceblue
Emotiva mini-X a-100
"This review is based on matching the Mini X with Hifiman He-500 Headphones. You may be reading this review, unsure what to make of this Amp, asking how can a cheap sub $200 amp offer the power needed for an expensive Headphone such as the Hifiman He-500? If you have done your homework you will find this is the stereo amp everybody is..." --fluidz
JDS Labs C5D
"This was provided to me from JDS Labs as a free review unit, so I need to give a big, big, big thank you to JDS Labs for their generosity! You might be able to see in the photos that my unit has some blemishes in the aluminum case. These will not appear in normal units. Since Head-Fi doesn't display the rating details from the reviewer, but rather the community average, here are my..." --miceblue
JDS Labs The Element
"Just unpacked and started listening. I have the Shiitstack Modi2 Uber/Magni2 Uber to compare with. First off, the Bass coming through the Element is deeper, richer, more detailed, more refined. At the same price point, the JDS Element is doing a better job separating the bass into clear, deep notes. The Shiitstack is looser in the Bass and not as refined. The Doublebass notes become blended and..." --Burtron5
JDS Labs O2+ODAC
" The JDS Labs O2 + ODAC combo (and just about every other version) is built into a simple metal enclosure (mine is black) and all of the inputs and outputs, save for the USB input are located on the front of the device. Aesthetically, I don't love that design decision but I understand it's one that was likely made due to the O2 being designed originally as a portable (sort of)..." --TheGame21x
JDS Labs c421 Headphone Amplifier
"Amazing sounding amp, easy to charge with a mini USB, bass boost works really well without muddying the sound, low/high gain switch. Sounds better than any other amp I have tried, ie Fred Fred cmoy and fiio e7 " --Mkvy
Fischer Audio Mystify
" ****Note**** As always, these are strictly my opinions. I try to present these products as honestly as possible and try to describe them as best as possible. As always, YMMV. ****NOTE**** FISCHER AUDIO MYSTIFY PORTABLE HEADPHONE AMP SPEC'S: Frequency "flatness": +/- 0.5db Dynamic Range: 110 db Total Harmonic Distortion: 0.001% Intermodulation..." --LFF
Emotiva UPA-200
UPA-200 represents a true breakthrough in audiophile-quality amplification. At last, a truly affordable stereo power amplifier that can satisfy the most discerning aficionado, and at the same, is affordable to anyone with a desire for real quality. Our advanced engineering and design techniques have resulted in an amazing new amplifier. Its rock solid performance and affordable price point...


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The Park Forest Public Library is currently accepting applications for the part-time position of Library Assistant. For information on qualifications, job duties, and how to apply, click here.
Color Me Happy Circle
Wednesdays at 4 pm - Community Commons
Drop in and unwind from the stress of everyday life with our new relaxation circle. Don't miss out on the hottest trend!
Practical Application Circle: The Gratitude Diaries
Saturday October 24th at 1 PM
Join our practical application circle and trade stories, be inspired, and transform your life for the better. This session's book is "The Gratitude Diaries" by Janice Kaplan. Books are available for checkout.
Flipster Online Magazine Service is here!
You can now access dozens of magazines online through Flipster! The catalog can be accessed by clicking here. Magazines can either be read on your computer or downloaded to the Flipster app on your phone or tablet. Happy reading!
Hoopla Digital
Park Forest Public Library is excited to announce the public availability of thousands of movies, television shows, music albums and audiobooks, all available for mobile, with the Hoopla Digital app, and online by clicking here. All you need is a valid library card! For questions and concerns respond to this email, give us a call or visit us today.
Axis 360 eRead Illinois
The library has expanded our e-book collection through new Axis 360 app! The app directly links your device to the library's Axis 360 collection and lets you download ebooks on the go.
- Visit the Axis 360 catalog to browse our collection.
- Install the free software or mobile app and download to
a tablet, home computer, or smart phone.
Visit our eBooks page for more information including
instructional handouts for your device.


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- 90Promote
Canvas Print
Be Yourselfby Rachel Burbee
Fine art print on bright white, fine poly-cotton blend, matte canvas using latest generation Epson archival inks. Individually trimmed and hand stretched museum wrap over 1-1/2" deep wood stretcher bars. Includes wall hanging hardware.
cute colours rachel :)
Oh Yeah, ✯ ✯ ✯ ✯ ✯ 👍 !!!
Thanks Twiggs :)
Thank you Wayne :)))
Thanks Dario
Thank You Beth :)
lovely design!
Thanks Sandra :)
very cool, Rachel!
Thanks Jacqueline :))
This is awesome on the shirts and hoodies and totes! I want the hoodie!
Awww thanks Caleb ... :))
Thanks Katy
Awesome! Love it :)
#awesome lol!
#lol Thanks ... Catherine
Thank you Sarah
Love the colours!
Thanks Laura
way cool Rachel!
So cool and clever!
Thanks Sylvia
Thanks Lisa
Thanks you January :))
very cool!
Thanks Garima
Thanks Nick :))
Wonderful !!
Thank You Chris
cool!!! :D
Thanks Carina
XXXXXXX xx XXxxx x XX
XXXX ..XXX ...xxxxxx ..in other words Thanks :))
Love the graphic quality. Dynamic.
Thanks You Christopher
I love when someone says to 'be yourself'!
»-(¯`·.·´¯)-> this hit my heart
Thanks Wayne and Gale
Paolo.. hope it didnt hurt as it hit :)
we have similar taste!! awesome!
Thanks Pencil me in ...:)
very cool design!
Thanks Christine
Great work
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